Individual provider Active NPI

Maristela Cruz Feliciano, PHARMD

  • Pharmacist
  • Arroyo, PR
National Provider Identifier
1356965933
Registry record updated May 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
6774 Issued in PR
Practice address
9 Carr 3 Ste 2
Arroyo, PR 00714-2138
Phone
(787) 271-1691
Fax
(787) 271-5825
NPI assigned
May 30, 2020
Last updated
May 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 6774 PR Primary

Addresses

Primary practice location

9 Carr 3 Ste 2
Arroyo, PR 00714-2138

Mailing address

PO Box 1941
Yabucoa, PR 00767-1941

Other identifiers 1

IdentifierTypeStateIssuer
6774OtherPRPHARMACIST

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL RX30

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
6774PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Inmobiliaria Cruz Feliciano PastSince Jun 7, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590796800000",
    "number": "1356965933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1941",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007671941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CARR 3 STE 2",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "007142138",
            "telephone_number": "787-271-1691",
            "fax_number": "787-271-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ FELICIANO",
        "first_name": "MARISTELA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-30",
        "last_updated": "2020-05-30",
        "certification_date": "2020-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "6774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "6774",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "RX30",
            "affiliation": "N",
            "address_1": "9 Carr 3 Ste 2",
            "city": "Arroyo",
            "state": "PR",
            "country_code": "US",
            "postal_code": "007142138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arroyo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.